Cost of Tuberculosis Therapy Directly Observed on Video for Health Departments and Patients in New York City; San Francisco, California; and Rhode Island (2017–2018).
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| Title: | Cost of Tuberculosis Therapy Directly Observed on Video for Health Departments and Patients in New York City; San Francisco, California; and Rhode Island (2017–2018). |
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| Authors: | Beeler Asay, Garrett R. (AUTHOR), Lam, Chee Kin (AUTHOR), Stewart, Brock (AUTHOR), Mangan, Joan M. (AUTHOR), Romo, Laura (AUTHOR), Marks, Suzanne M. (AUTHOR), Morris, Sapna Bamrah (AUTHOR), Gummo, Caroline L. (AUTHOR), Keh, Chris E. (AUTHOR), Hill, Andrew N. (AUTHOR), Thomas, Anila (AUTHOR), Macaraig, Michelle (AUTHOR), St John, Kristen (AUTHOR), J. Ampie, Teresita (AUTHOR), Chuck, Christine (AUTHOR), Burzynski, Joseph (AUTHOR) |
| Source: | American Journal of Public Health. Nov2020, Vol. 110 Issue 11, p1696-1703. 8p. |
| Subjects: | Health boards, Tuberculosis treatment, Directly observed therapy, Videoconferencing, Tuberculosis patients, Medical care costs |
| Abstract: | Objectives. To assess costs of video and traditional in-person directly observed therapy (DOT) for tuberculosis (TB) treatment to health departments and patients in New York City, Rhode Island, and San Francisco, California. Methods. We collected health department costs for video DOT (VDOT; live and recorded), and in-person DOT (field- and clinic-based). Time–motion surveys estimated provider time and cost. A separate survey collected patient costs. We used a regression model to estimate cost by DOT type. Results. Between August 2017 and June 2018, 343 DOT sessions were captured from 225 patients; 87 completed a survey. Patient costs were lowest for VDOT live ($1.01) and highest for clinic DOT ($34.53). The societal (health department + patient) costs of VDOT live and recorded ($6.65 and $12.64, respectively) were less than field and clinic DOT ($21.40 and $46.11, respectively). VDOT recorded health department cost was not statistically different from field DOT cost in Rhode Island. Conclusions. Among the 4 different modalities, both types of VDOT were associated with lower societal costs when compared with traditional forms of DOT. Public Health Implications. VDOT was associated with lower costs from the societal perspective and may reduce public health costs when TB incidence is high. [ABSTRACT FROM AUTHOR] |
| Copyright of American Journal of Public Health is the property of American Public Health Association and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) | |
| Database: | Psychology and Behavioral Sciences Collection |
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| Header | DbId: pbh DbLabel: Psychology and Behavioral Sciences Collection An: 146319260 AccessLevel: 6 PubType: Academic Journal PubTypeId: academicJournal PreciseRelevancyScore: 0 |
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| Items | – Name: Title Label: Title Group: Ti Data: Cost of Tuberculosis Therapy Directly Observed on Video for Health Departments and Patients in New York City; San Francisco, California; and Rhode Island (2017–2018). – Name: Author Label: Authors Group: Au Data: <searchLink fieldCode="AR" term="%22Beeler+Asay%2C+Garrett+R%2E%22">Beeler Asay, Garrett R.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Lam%2C+Chee+Kin%22">Lam, Chee Kin</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Stewart%2C+Brock%22">Stewart, Brock</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Mangan%2C+Joan+M%2E%22">Mangan, Joan M.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Romo%2C+Laura%22">Romo, Laura</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Marks%2C+Suzanne+M%2E%22">Marks, Suzanne M.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Morris%2C+Sapna+Bamrah%22">Morris, Sapna Bamrah</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Gummo%2C+Caroline+L%2E%22">Gummo, Caroline L.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Keh%2C+Chris+E%2E%22">Keh, Chris E.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Hill%2C+Andrew+N%2E%22">Hill, Andrew N.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Thomas%2C+Anila%22">Thomas, Anila</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Macaraig%2C+Michelle%22">Macaraig, Michelle</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22St+John%2C+Kristen%22">St John, Kristen</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22J%2E+Ampie%2C+Teresita%22">J. Ampie, Teresita</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Chuck%2C+Christine%22">Chuck, Christine</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Burzynski%2C+Joseph%22">Burzynski, Joseph</searchLink> (AUTHOR) – Name: TitleSource Label: Source Group: Src Data: <searchLink fieldCode="JN" term="%22American+Journal+of+Public+Health%22">American Journal of Public Health</searchLink>. Nov2020, Vol. 110 Issue 11, p1696-1703. 8p. – Name: Subject Label: Subjects Group: Su Data: <searchLink fieldCode="DE" term="%22Health+boards%22">Health boards</searchLink><br /><searchLink fieldCode="DE" term="%22Tuberculosis+treatment%22">Tuberculosis treatment</searchLink><br /><searchLink fieldCode="DE" term="%22Directly+observed+therapy%22">Directly observed therapy</searchLink><br /><searchLink fieldCode="DE" term="%22Videoconferencing%22">Videoconferencing</searchLink><br /><searchLink fieldCode="DE" term="%22Tuberculosis+patients%22">Tuberculosis patients</searchLink><br /><searchLink fieldCode="DE" term="%22Medical+care+costs%22">Medical care costs</searchLink> – Name: Abstract Label: Abstract Group: Ab Data: Objectives. To assess costs of video and traditional in-person directly observed therapy (DOT) for tuberculosis (TB) treatment to health departments and patients in New York City, Rhode Island, and San Francisco, California. Methods. We collected health department costs for video DOT (VDOT; live and recorded), and in-person DOT (field- and clinic-based). Time–motion surveys estimated provider time and cost. A separate survey collected patient costs. We used a regression model to estimate cost by DOT type. Results. Between August 2017 and June 2018, 343 DOT sessions were captured from 225 patients; 87 completed a survey. Patient costs were lowest for VDOT live ($1.01) and highest for clinic DOT ($34.53). The societal (health department + patient) costs of VDOT live and recorded ($6.65 and $12.64, respectively) were less than field and clinic DOT ($21.40 and $46.11, respectively). VDOT recorded health department cost was not statistically different from field DOT cost in Rhode Island. Conclusions. Among the 4 different modalities, both types of VDOT were associated with lower societal costs when compared with traditional forms of DOT. Public Health Implications. VDOT was associated with lower costs from the societal perspective and may reduce public health costs when TB incidence is high. [ABSTRACT FROM AUTHOR] – Name: AbstractSuppliedCopyright Label: Group: Ab Data: <i>Copyright of American Journal of Public Health is the property of American Public Health Association and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.) |
| PLink | https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=pbh&AN=146319260 |
| RecordInfo | BibRecord: BibEntity: Identifiers: – Type: doi Value: 10.2105/AJPH.2020.305877 Languages: – Code: eng Text: English PhysicalDescription: Pagination: PageCount: 8 StartPage: 1696 Subjects: – SubjectFull: Health boards Type: general – SubjectFull: Tuberculosis treatment Type: general – SubjectFull: Directly observed therapy Type: general – SubjectFull: Videoconferencing Type: general – SubjectFull: Tuberculosis patients Type: general – SubjectFull: Medical care costs Type: general Titles: – TitleFull: Cost of Tuberculosis Therapy Directly Observed on Video for Health Departments and Patients in New York City; San Francisco, California; and Rhode Island (2017–2018). Type: main BibRelationships: HasContributorRelationships: – PersonEntity: Name: NameFull: Beeler Asay, Garrett R. – PersonEntity: Name: NameFull: Lam, Chee Kin – PersonEntity: Name: NameFull: Stewart, Brock – PersonEntity: Name: NameFull: Mangan, Joan M. – PersonEntity: Name: NameFull: Romo, Laura – PersonEntity: Name: NameFull: Marks, Suzanne M. – PersonEntity: Name: NameFull: Morris, Sapna Bamrah – PersonEntity: Name: NameFull: Gummo, Caroline L. – PersonEntity: Name: NameFull: Keh, Chris E. – PersonEntity: Name: NameFull: Hill, Andrew N. – PersonEntity: Name: NameFull: Thomas, Anila – PersonEntity: Name: NameFull: Macaraig, Michelle – PersonEntity: Name: NameFull: St John, Kristen – PersonEntity: Name: NameFull: J. Ampie, Teresita – PersonEntity: Name: NameFull: Chuck, Christine – PersonEntity: Name: NameFull: Burzynski, Joseph IsPartOfRelationships: – BibEntity: Dates: – D: 01 M: 11 Text: Nov2020 Type: published Y: 2020 Identifiers: – Type: issn-print Value: 00900036 Numbering: – Type: volume Value: 110 – Type: issue Value: 11 Titles: – TitleFull: American Journal of Public Health Type: main |
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